Date of birth: 13 Jan 1965
Date of accident: 10 May 2001
Car accident
Level of injury: T6 ASIA A
Other damage: Collateral damage: right parietal head injury and left upper limb hemiparesis.
Hospital report from the
U. Hospital Miguel Servet,
Zaragoza, Spain, 5 July 2002:
Paraplegia T6 ASIA A and left upper limb hemiparesis
- Motor and sensory systems: none below dermatom T6.
- Bowels: cannot feel when his bowels are full; uses suppositories.
- Bladder: cannot feel when his bladder is full + no control; uses a penilex but pushes with his hands on his abdomen to fully empty the bladder fully; has sweatings.
- Independence: needs assistance for his transfers and toileting.
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Limbs measurements |
Pinprick test |
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| 29/01/04 | 05/10/04 |
31/05/05 After his cell transplantation in Moscow |
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Beginning of treatment: 10 Sep 2002
1. Independence
- Needs assistance for his transfers but they are easier.
- Has a better sitting position in his wheelchair since Oct. 2002.
- Wants to stand up since Dec. 2003.
2. Stability
- Stands between parallel bars.
3. Mobility
- Uses an electric bike since Oct. 2002
4.1. Volontary motricity
- No clear voluntary movement (9 Feb. 2004).
- Voluntary movement of the right lower limb: can lift it up to 45° against gravity (grade 3); controls the movement when he puts his lower limb down.
- Dorsal flexion (grade 2) of his right ankle - voluntary movement.
- 13 Dec. 2004: visible contraction of the left quadriceps, grade 1.
4.2. Walking
- Has KAFOs since Feb. 2003.
- Feb. 2003: walks between parallel bars in his KAFOs (forwards and backwards); walks in his KAFOs and a walker.
- Oct. 2003: works on treadmill in his KAFOs, works one limb after the other; can take a step with his right leg while someone keeps his left le in line.
5. Sensory level
- Light touch:
Jan. 2004: numb feelings in his back.
Test done on 29 Jan. 2004: normal feeling on his front down to dermatoms T6 (right) and T6-T7 (left); normal feeling on his back down to dermatom T5 (right) and T6 (left). - Pressure:
Test done on 29 Jan. 2004: can feel pressure on his front down to T7 (right and left); can feel pressure on his back down to dermatom T12 (right) and T9 (left). - Pain:
No feeling below SCI (T6). - Hot: can feel the heat
Test done on 30 Jan. 2004: can feel heat on his front down to dermatoms T5 (right) and T6-T7 (left); can feel heat on his back down to dermatoms T4 (right) and T5 (left). - Thermoregulation:
Since April 2003, sweats down to dermatoms T7-L1 and feet; sweats when he does physical exercises or when temperatures are hot.
6. Bowels and bladder
- Bowels:
Since Jan. 2003 can feel when passes stools.
Since Feb. 2003 knows when his bowels are full through sweating. - Bladder:
Cannot feel when his bladder is full.
Can feel when passes urine since Jan. 2003, constant feeling.
Do not need to push on his abdomen to fully empty his bladder any more.
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Résultats après implantation de cellules de
moelle osseuse à la clinique Neurovita de Moscou par le Dr Brukhovetsky.
Le pinprick a été pratiqué le 16/05/05 par le Dr Cécile Jame-Collet, médecin généraliste diplômée de la Faculté Médecine de Dijon, et diplômée en Médecine Traditionnelle Chinoise à la l’Université de Médecine de Paris-Nord, à la clinique de Monsieur Bohbot après les trois injections de cellules de moelle osseuse réalisées à la clinique Neurovita à Moscou. Ont été constatées les modifications suivantes par rapport au test du 05/10/04 : - Apparition d’une hypersensibilité à la piqûre au dessous du dermatome T6 face antérieure : jusqu’aux extrémités des orteils ; sur la face antérieure de la cuisse droite : apparition d’une piqûre atténuée et d’une pression sur la ligne médiane de l’abdomen entre T8 et T12. Face antérieure : sensibilité normale sur la fesse droite ; hypersensibilité sur la fesse gauche et la face postérieure des deux membres inférieurs, plante des pieds et orteils. Pas de changement observable entre T8 et S1 : cette zone non réactive préalablement existait au pinprick du 05/10/04. Pour la première fois, après son retour de Moscou, perception de sensations sous lésionnelles pendant les séances de laserponcture. Au niveau moteur, sur le fauteuil, commande volontaire de la jambe gauche. Extension de la jambe sur la cuisse. Les ponctions sont toujours faites au niveau L3 et L4. Vladimir a eu 3 transfusions de cellules de moelle osseuse en L2-L3 : le 24 février, et les 10 et 15 mars 2005. Plastie crânienne faite le 03/03/05. |